TITLE

Severe bleeding from esophageal varices resistant to endoscopic treatment in a non cirrhotic patient with portal hypertension

AUTHOR(S)
Roberto Caronna; Mario Bezzi; Monica Schiratti; Maurizio Cardi; Giampaolo Prezioso; Michele Benedetti; Federica Papini; Simona Mangioni; Gabriele Martino; Piero Chirletti
PUB. DATE
January 2008
SOURCE
World Journal of Emergency Surgery;2008, Vol. 3, Special section p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
A non cirrhotic patient with esophageal varices and portal vein thrombosis had recurrent variceal bleeding unsuccessfully controlled by endoscopy and esophageal transection. Emergency transhepatic portography confirmed the thrombosed right branch of the portal vein, while the left branch appeared angulated, shifted and stenotic. A stent was successfully implanted into the left branch and the collateral vessels along the epatoduodenal ligament disappeared. In patients with esophageal variceal hemorrhage and portal thrombosis if endoscopy fails, emergency esophageal transection or nonselective portocaval shunting are indicated. The rare patients with only partial portal thrombosis can be treated directly with stenting through an angioradiologic approach.
ACCESSION #
35707336

 

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